Individual provider Active NPI

Eui-Hyun Curi Shin, O.D.

  • Optometrist
  • Snohomish, WA
National Provider Identifier
1619228731
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60412689 Issued in WA
Practice address
14523 Cascade Dr SE
Snohomish, WA 98296-5265
Phone
(267) 808-5011
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5197 MA
Optometrist 152W00000X 60412689 WA Primary

Addresses

Primary practice location

14523 Cascade Dr SE
Snohomish, WA 98296-5265

Mailing address

14523 Cascade Dr SE
Snohomish, WA 98296-5265
Phone (267) 808-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013003468 WA Practitioner - Optometry 6103188297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60412689WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Eye and Contact Lens Clinic, Inc. Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

15808 Mill Creek Blvd
Ste 110
Mill Creek, WA 98012
Phone (425) 745-5650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1619228731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 CASCADE DR SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965265",
            "telephone_number": "267-808-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 CASCADE DR SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965265",
            "telephone_number": "267-808-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "EUI-HYUN CURI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5197",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60412689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.